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Sayfullaeva Yulduzxon Nizamovna 4th year student of the medical faculty Samarkand State Medical Institute REPUBLIC OF UZBEKISTAN Annotation: This article is devoted to the study of one of the severe complications of the early postoperative period during surgical interventions on the liver and biliary tract-biliary peritonitis. The article presents the reasons, the main factors predisposing the occurrence of postoperative biliary peritonitis. A brief review of the literature on this disease is carried out, and a clinical case of biliary peritonitis is described.

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Relevance. Patients with complicated forms of chronic pancreatitis (CP) require surgical intervention. One of the proven objective methods for assessing the results of surgical treatment is the assessment of the quality of life (QOL).Material and methods. An analysis of the QoL was carried out in 31 patients operated on for a complicated course of CP. Most of the patients were males -21 patients. The average age was 49 (44; 53) years. BMI 22.4 (20.4; 24). All patients underwent partial resection of the pancreatic head with longitudinal pancreatojejunostomy. QL was assessed using general questionnaires QLQ EORTS C30, SF 36, VASh. Patients were questioned more than 6 months after the operation. The median follow-up was 11.5 months. The data were statistically processed using nonparametric methods. Quantitative data are presented as a median with an indication of the interquartile range. Differences between quantitative characteristics were determined using the Mann-Whitney test.Results. The integral indicator of general QOL (in accordance with QLQ C30) increased from 29.17 (0; 50.0) units to 75.0 (54.2; 83.3). The level of physical condition of patients (in accordance with SF 36) before surgery was 30.5 (24.8; 37.5) points, after surgery -50.8 (46.7; 56.5) points. Psychological status before surgery 30.2 (26.7; 36.4), after surgery -53.8 (48.7; 57.3). The pain level according to the VAS before surgery was 8 (8; 10) points, after surgery -3 (2; 5) points. The revealed differences before and after surgery are statistically significant.Findings. Partial resection of the head of the pancreas with longitudinal pancreatojejunostomy contributes to a significant reduction in pain and improvement of QoL. However, it is necessary to continue monitoring this group of patients in order to identify possible recurrence of CP symptoms.

Relevance. The issues of surgical treatment of inguinal hernias have not been unambiguously resolved to date. Surgeons have proposed a large number of methods of surgical interventions, however, the ideal intervention has not yet been developed. The problem is urgent and needs further development and study.Material and methods. The results of treatment of 250 patients with inguinal hernias were analyzed. All operated on are men. The patients' age is from 25 to 86 years. According to the classification of Leoyd M. Nyhus (1995): direct hernias (type IIIa) were present in 111 (44.4%) patients; large oblique hernias (type IIIb) -in 74 (29.6%); recurrent hernias (type IV) were diagnosed in 65 (26%) patients. During the examination, 163 (%) patients had various comorbidities: hypertension 72 (44.2%), coronary heart disease 33 (20.2%), diabetes mellitus 21 (12.9%), bronchial asthma, pulmonary emphysema, pneumosclerosis 18 (11%), varicose veins of the lower extremities 12 (7.4%), previous CVA 7 (4.3%). Of 74 patients with recurrent and hernias, 23 had a second, 9 had a third relapse, Results. During the operation, local infiltrative anesthesia was used in 174 (69.6%) patients for anesthesia, epidural anesthesia was used in 60 (24%) cases, general anesthesia occurred in 16 (6.4%) patients. During the operation, we attach particular importance to minimal tissue trauma and hemostasis. Postoperative complications: in 26 (10.4%) cases, there was a slight scrotal edema, which completely disappeared within 1014 days after the operation. The occurrence of this complication is associated with compression of the spermatic cord into the hole created in the mesh implant; in 13 (5.2%) patients who were operated on for recurrent hernias, in the postoperative period and during the control examinations, there were areas of sensitivity disturbance in the operation area, which we associate with trauma to the nerve trunks during dissection of scar tissue. Conservative treatment after surgery included antibiotic therapy, pain relief, prevention of thromboembolic complications. There were no lethal outcomes. Long-term results by telephone survey were studied in the period up to 5 years after surgery, in 102 (40.8%) patients, recurrent hernias were not observed. The patients are feeling well.Findings. Thus, hernia repair according to the Liechtenstein technique using a polypropylene mesh is the operation of choice in patients with straight (type IIIa), large oblique (type IIIb), recurrent hernias (type IV). Strict adherence to the operating March 19, 2021 • Cambridge, UK • 179 .technique, high-quality hemostasis, full-fledged conservative therapy allows avoiding the development of complications at various stages of treatment.